An AI medical scribe for endocrinology
Endocrine consultations are long conversations about trends: glucose patterns, weight, thyroid levels, bone density over years. The note must hold a lot of numbers and every dose change, in the right units. ClearPass transcribes the visit and writes the English note for you to review, marking any figure that never came up in the conversation.
The content of a good endocrine note
A diabetes review, a thyroid follow-up and an osteoporosis visit look different, but the note in each case is judged on whether the next clinician can see the trend and the reason for the current regimen.
- Glycaemic data: HbA1c with date, CGM time in range, time below range, average glucose, hypoglycaemia frequency and awareness.
- Insulin and other agents with exact doses and timing: basal units, carbohydrate ratio, correction factor, GLP-1 or SGLT2 therapy and tolerance.
- Complication screening status: eyes, feet, urine albumin to creatinine ratio, eGFR, blood pressure, lipids.
- Thyroid: TSH and free T4 with units, symptoms of over- or under-replacement, nodule size and ultrasound features.
- Bone health: DEXA T-scores by site, fracture history, calcium and vitamin D, fall risk.
- Weight, BMI and waist, and what the patient said about diet, activity and side effects.
Example: type 2 diabetes review
A SOAP note at Detailed length, written from a transcribed visit. The patient and figures are invented.
S: Type 2 diabetes for 9 years. On metformin 1 g twice daily and basal insulin 22 units at night. Reports 2 mild hypos in the past month, both before lunch, recognised and treated. Mild nausea since semaglutide was increased to 0.5 mg weekly 4 weeks ago, improving. O: Weight 94 kg (was 97 kg). BP 128/78. Feet: pulses present, monofilament sensation intact both feet. HbA1c 7.4% (previously 8.1%). eGFR 72. Urine ACR 2.1 mg/mmol. A: Improving control. Pre-lunch hypoglycaemia likely from basal dose now that weight and intake have fallen. P: Reduce basal insulin to 20 units. Continue semaglutide 0.5 mg weekly. Retinal screening due, request sent. Repeat HbA1c in 3 months.
Insulin units, mg and mmol are where a misheard word causes real harm. The numbers check exists for exactly this.
Endocrinology templates in ClearPass
The Endocrinology group has guided case templates for typed cases: diabetes management and review, insulin pump or CGM device requests, thyroid disorders, thyroid nodule or goitre, osteoporosis and vitamin D, obesity and weight management (drug or surgical), adrenal disorders and incidentaloma, pituitary disorders, paediatric growth and GH, puberty disorders, PCOS, lipid disorders, and calcium or parathyroid problems.
For a transcribed visit you pick a note structure instead. Many endocrinologists use Follow-up for reviews and write their own structure for a diabetes clinic, with headings such as Glycaemia, Hypoglycaemia, Complications, Medications and Targets.
Letters and approvals
Endocrine care generates paperwork: device funding for pumps and sensors, approval for newer weight-management drugs, school letters for children with type 1 diabetes, and sick-day guidance. From one visit ClearPass drafts patient instructions (for example sick-day rules), a referral letter, or a school letter under Something else.
For medicines that need approval, the GLP-1 prior authorization page explains what the justification should document, and the general prior authorization letter mode writes it from your note. If it is refused, use denial appeal.
What to check before you sign off
- Units: mmol/L versus mg/dL for glucose, percentage versus mmol/mol for HbA1c, units versus mg for insulin.
- The direction of every dose change. 'Reduce to 20' and 'increase by 2' must match what you decided.
- Drug names: glimepiride versus glipizide, levothyroxine strength, brand names the patient used.
- Which result is current and which is the previous one, especially when several HbA1c values were discussed.
- Thyroid nodule measurements and side, taken from the ultrasound report rather than memory.
What ClearPass does not do
- It does not replace your judgement. Every note is an AI draft that you review and correct before it is used.
- It is not a medical device and does not make clinical decisions. It is a documentation aid.
- It does not connect to your EMR. The note is copy-ready text that pastes into any system.
Privacy
Clinical note content is not stored on ClearPass servers: it is processed to write the note, then discarded. Consultation audio is transcribed and discarded, never stored. Your note history stays in your browser, on your device, and you choose how long it is kept. Common identifiers are removed from typed and transcribed text before it reaches the AI; that is a best-effort safeguard, so leave names, ID numbers and file numbers out where you can. Processing goes through the AI providers named in our Privacy Policy, which sets out exactly what each one receives and how long it keeps it. ClearPass does not sign HIPAA business associate agreements today.
Questions
Can I upload a CGM or pump download?
You can photograph a printed summary and upload it; ClearPass reads the clinical details into the note. It does not connect to device platforms. Remove the patient's name and identifiers from the photo first.
Will it keep glucose in mmol/L if that is what I use?
It writes what was said. If you and the patient discuss mmol/L, the note uses mmol/L. Check units anyway, because mixed units in one conversation are common.
Does it suggest insulin doses?
No. It documents the doses you decided. It does not make clinical decisions or give dosing advice.
Can it write a paediatric diabetes school letter?
Yes, using the Something else option from the same visit. Review it for the school's needs before you send it.
What does ClearPass cost?
The 7-day trial is free, needs no card and simply ends after 7 days, with no automatic charge. After that there is one plan: $78 a month or $858 a year, with every visit transcribed.
Try it on your next clinic day
The full product for 7 days, with no card and no automatic charge. Then $78 a month or $858 a year. Pricing details.
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